Mental Health Assistant Version 2 (Mha 2) Installation Guide

MENTAL HEALTH ASSISTANT
VERSION 2 (MHA 2)
INSTALLATION GUIDE
PATCH YS*5.01*76
Version 5.01
June 2003
Department of Veterans Affairs

VistA Health System Design & Development
Preface
Section 508 of The Rehabilitation Act
NOTE: The Veterans Health Administration (VHA) fully supports Section 508 of The
Rehabilitation Act and is committed to equal access for all users. While every effort has been
made to ensure Section 508 compliance, we realize that there may be other issues. If you have
questions or would like to see a copy of the Compliance Action Plan for future releases, please
contact:
Katie Thomas, Project Manager

Software Design and Development
Clinical Specialties, Team 4
Phone# 817-385-3882
Email: katie.thomas@med.va.gov
VistA Mental Health Assistant Version 2, (MHA 2) 508 Compliance
In MHA Version 1, on the Order Tests tab the only way to move a test from the list of available
tests to the list of selected tests (or back) without using the mouse was to use options under the
Actions option on the main menu. In MHA Version 2, it is now also possible to tab to the select,
delete, or delete all buttons; and select, delete, and delete all menu options have been added to
the pop-up menu.
June 2003 VistA MHA V. 2 Patch YS*5.01*76 i

Installation Guide
Preface
MHA 2 Software Application
The Veterans Health Information Systems and Architecture (VistA) Mental Health Assistant
Version 2 (MHA 2), Installation Guide Patch YS*5.01*76, provides detailed instructions and
requirements for installing and implementing the Graphical User Interface (GUI) software
application.
MHA 2 Installation Guide Orientation:
NOTE: The screen captures examples text is written in support of Section 508 compliance.
Commands to utilize options are bolded.
Introduction: This section includes an overview of the major functions, purposes, and how the
GUI software application accomplishes the objectives.
Enhancements and Modifications: This section contains software changes exported by MHA 2,
Patch YS*5.01*76.
Security Information: This section addresses any unique legal requirements and responsibilities
pertaining to the Mental Health Assistant Version 2, software application and necessary security
measures to protect the integrity of the software and its data.
Pre-installation Information: This section provides information needed prior to installing MHA
Version 2, patch YS*5.01*76.
Installation Instructions: This section contains instructions and examples of MHA Version 2,
patch YS*5.01*76 installation process.
Post Installation Instruction: This provides directions for implementing the VistA Mental
Health Package enhancements to interact with the MHA Version 2, software application.
ii VistA MHA V. 2 Patch YS*5.01*76 June 2003

Installation Guide
Preface
Software and Documentation Retrieval Information
NOTE: All sites are encouraged to use the File Transfer Protocol (FTP) capability. Use the FTP
address “download.vista.med.va.gov” (without the quotes) to connect to the first available FTP
server where the files are located.
Anonymous Software Directory
VistA Mental Health Assistant Version 2 Patch YS*5.01*76 files, Installation Guide (i.e.,
YS50176_MHA2_IG.DOC and YS50176_MHA2_IG.PDF), and User Manual (i.e.,
YS50176_MHA2_UM.DOC and YS50176_MHA2_UM.PDF) are available on the Office of
Information Field Offices (OIFOs) ANONYMOUS SOFTWARE directory FTP addresses listed
below:
OIFOs FTP ADDRESS DIRECTORY

Albany ftp.fo-albany.med.va.gov [ANONYMOUS.SOFTWARE]
Hines ftp.fo-hines.med.va.gov [ANONYMOUS.SOFTWARE]
Salt Lake City ftp.fo-slc.med.va.gov [ANONYMOUS.SOFTWARE]
MHA 2 Software and Documentation Files Retrieval Format
MHA 2 Patch YS*5.01*76 exports the following files:
File Name Contents Retrieval Formats

YS_501_76.KID ASCII
YS50176_Setup_124.exe Mental Health Assistant BINARY

This file is the complete install for the Mental Health
Assistant GUI Version 1.0.2.9, client.
- YS_MHA.exe MHA2 Executable

- YS_MHA_SD.exe Secure Desktop Executable
- YS_MHA_KH.DLL Keyboard Hook DLL used by Secure Desktop
- YS_MHA.Hlp Online help file
- YS_MHA.GID Online help configuration file
- YS50176_MHA2_IG.PDF YS_MHA2 Installation Guide BINARY

- YS50176_MHA2_IG.DOC YS_MHA2 Installation Guide BINARY
- YS50176_MHA2_UM.PDF YS_MHA2 User Manual BINARY

- YS50176_MHA2_UM.DOC YS_MHA2 User Manual BINARY
June 2003 VistA MHA V. 2 Patch YS*5.01*76 iii

Installation Guide
Preface
MHA 2 Documentation Website Locations
MHA Version 2, Installation Guide (i.e., YS50176_MHA2_IG.PDF &

YS50176_MHA2_IG.DOC), and User Manual (i.e., YS50176_MHA2_UM.PDF &
YS50176_MHA2_UM.DOC) are available in MS Word Format (DOC) and Portable Document
Format (PDF) at the following Website locations:
VistA Mental Health Version 5.01 Home Page:
http://VistA.med.va.gov/ClinicalSpecialties/menthlth/Index.html
VistA Documentation Library (VDL):
http://www.va.gov/vdl/
iv VistA MHA V. 2 Patch YS*5.01*76 June 2003

Installation Guide
Table Of Contents
PREFACE------------------------------------------------------------------------------------------------------------------------------I
SECTION 508 OF THE REHABILITATION ACT----------------------------------------------------------------------------------- I
VistA Mental Health Assistant Version 2, (MHA 2) 508 Compliance---------------------------------------------------i
MHA 2 SOFTWARE APPLICATION----------------------------------------------------------------------------------------------- II
MHA 2 Installation Guide Orientation:------------------------------------------------------------------------------------ii
SOFTWARE AND DOCUMENTATION RETRIEVAL INFORMATION------------------------------------------------------------- III
Anonymous Software Directory---------------------------------------------------------------------------------------------iii
MHA 2 Software and Documentation Files Retrieval Format----------------------------------------------------------iii
VistA Mental Health Version 5.01 Home Page:--------------------------------------------------------------------------iv
VistA Documentation Library (VDL):--------------------------------------------------------------------------------------iv
INTRODUCTION-------------------------------------------------------------------------------------------------------------------7
OVERVIEW-------------------------------------------------------------------------------------------------------------------------7
VistA Mental Health Assistant Version 2, Software Features------------------------------------------------------------7
ASI – Addiction Severity Index:-------------------------------------------------------------------------------------------------------7
GAF – Global Assessment of Functioning:-------------------------------------------------------------------------------------------7
Psychological Tests and Interviews:---------------------------------------------------------------------------------------------------7
VISTA MHA 2, FUNCTIONALITY------------------------------------------------------------------------------------------------8
Addiction Severity Index (ASI):----------------------------------------------------------------------------------------------8
Global Assessment of Functioning (GAF)----------------------------------------------------------------------------------9
Psychological Tests and Interviews:-----------------------------------------------------------------------------------------9
Test Results Tab:-------------------------------------------------------------------------------------------------------------------------9
Order Tests Tab:--------------------------------------------------------------------------------------------------------------------------9
Patient Demographics-------------------------------------------------------------------------------------------------------------------9
SECURE DESKTOP INFORMATION----------------------------------------------------------------------------------------------10
Patient Entry Window--------------------------------------------------------------------------------------------------------11
First Warning Dialog Box-------------------------------------------------------------------------------------------------------------12
Second Warning Dialog Box----------------------------------------------------------------------------------------------------------12
Unauthorized Keystrokes----------------------------------------------------------------------------------------------------13
Excessive Use of Unauthorized Keystrokes-------------------------------------------------------------------------------13
Termination of Mental Health Assistant-----------------------------------------------------------------------------------13
ENHANCEMENTS AND MODIFICATIONS-------------------------------------------------------------------------------15
ENHANCEMENTS:----------------------------------------------------------------------------------------------------------------15
MODIFICATIONS-----------------------------------------------------------------------------------------------------------------17
SECURITY INFORMATION----------------------------------------------------------------------------------------------------21
SECURITY MANAGEMENT------------------------------------------------------------------------------------------------------21
Security Features:------------------------------------------------------------------------------------------------------------21
Secure Desktop-------------------------------------------------------------------------------------------------------------------------21
Mail Groups:----------------------------------------------------------------------------------------------------------------------------21
Alerts:------------------------------------------------------------------------------------------------------------------------------------21
Remote Systems:--------------------------------------------------------------------------------------------------------------22
MH YT and YS RPCs------------------------------------------------------------------------------------------------------------------22
Registration DG RPCs-----------------------------------------------------------------------------------------------------------------23
Archiving/Purging:-----------------------------------------------------------------------------------------------------------24
Contingency Planning:------------------------------------------------------------------------------------------------------24
Interfacing:--------------------------------------------------------------------------------------------------------------------24
Electronic Signatures:-------------------------------------------------------------------------------------------------------24
Menus---------------------------------------------------------------------------------------------------------------------------24
Security Keys:-----------------------------------------------------------------------------------------------------------------24
File Security:------------------------------------------------------------------------------------------------------------------25
References:--------------------------------------------------------------------------------------------------------------------25
June 2003 VistA MHA V. 2 Patch YS*5.01*76 v

Installation Guide
Table Of Contents
Official Policies:--------------------------------------------------------------------------------------------------------------25
PRE-INSTALLATION INFORMATION-------------------------------------------------------------------------------------27
RECOMMENDED USERS:--------------------------------------------------------------------------------------------------------27
Information Resources Management (IRM) Staff------------------------------------------------------------------------27
Mental Health Clinicians----------------------------------------------------------------------------------------------------27
TEST SITES-----------------------------------------------------------------------------------------------------------------------27
WINDOWS CONVENTIONS------------------------------------------------------------------------------------------------------28
VISTA OPERATING SYSTEM----------------------------------------------------------------------------------------------------28
VISTA OPERATING SYSTEM PERFORMANCE CAPACITY---------------------------------------------------------------------28
MHA CENTRAL PROCESSING UNIT (CPU) REQUIREMENT----------------------------------------------------------------28
MHA SOFTWARE APPLICATION INSTALLATION TIME-----------------------------------------------------------------------28
USERS ON THE SYSTEM---------------------------------------------------------------------------------------------------------28
BACKUP ROUTINES-------------------------------------------------------------------------------------------------------------29
KERNEL INSTALLATION AND DISTRIBUTION SYSTEM (KIDS)-------------------------------------------------------------29
NAMESPACE----------------------------------------------------------------------------------------------------------------------29
MHA 2 SOFTWARE APPLICATION REQUIREMENTS--------------------------------------------------------------------------29
Software Applications Versions---------------------------------------------------------------------------------------------------29
REQUIRED PATCHES-------------------------------------------------------------------------------------------------------------29
Software Applications Patches----------------------------------------------------------------------------------------------------29
MHA 2 MENU/OPTIONS CHANGES-------------------------------------------------------------------------------------------30
YS Broker1 [YS BROKER1] Option---------------------------------------------------------------------------------------30
DATABASE INTEGRATION AGREEMENTS (DBIAS)--------------------------------------------------------------------------30
DATA DICTIONARY CHANGES--------------------------------------------------------------------------------------------------31
MH INSTRUMENT file (#601):--------------------------------------------------------------------------------------------31
COPYRIGHT HOLDER file (#601.3):-------------------------------------------------------------------------------------31
ASI NARRATIVE file (#604.68):-------------------------------------------------------------------------------------------31
REMOTE PROCEDURES----------------------------------------------------------------------------------------------------------32
MHA New YT RPCs----------------------------------------------------------------------------------------------------------32
New Registration DG RPCs-------------------------------------------------------------------------------------------------43
ROUTINE SUMMARY------------------------------------------------------------------------------------------------------------44
INSTALLATION INSTRUCTIONS--------------------------------------------------------------------------------------------45
SERVER:--------------------------------------------------------------------------------------------------------------------------45
MHA INSTALLATION EXAMPLE:-----------------------------------------------------------------------------------------------47
POST INSTALLATION INSTRUCTIONS-----------------------------------------------------------------------------------51
CLIENT SOFTWARE:-------------------------------------------------------------------------------------------------------------51
IRM STAFF:----------------------------------------------------------------------------------------------------------------------51
VISTA MHA 2 FILES RETRIEVAL LOCATIONS AND FORMATS-------------------------------------------------------------51
VISTA MHA 2 Files Retrieval Formats-----------------------------------------------------------------------------------52
MENTAL HEALTH ASSISTANT INSTALL WINDOWS ILLUSTRATIONS-------------------------------------------------------53
Installing Mental Health Assistant on your Computer------------------------------------------------------------------53
Setup complete----------------------------------------------------------------------------------------------------------------55
vi VistA MHA V. 2 Patch YS*5.01*76 June 2003

Installation Guide
Introduction
Overview
The primary goal is to make the VistA Mental Health Package (MHP) V. 5.01 an effective, more
efficient tool for use by mental health clinicians and their patients with the creation of a windows
based application for the most commonly used options in the MHP. Currently the MHP is
administered through VistA’s roll-and-scroll technology. Interviews are generally recorded on
paper and entered later by the clinician or clerk because the roll and scroll technology is not
conducive to following the natural flow of conversation. The development of a windows based
software application to enter and display the Global Assessment of Functioning (GAF) score, the
Addiction Severity Index (ASI), and 60 psychological tests will make the MHP more user-
friendly. This will provide a Graphical User Interface (GUI) format for the entry of GAF, ASI
assessments, display of reports and results of psychological tests and interviews.
VistA Mental Health Assistant Version 2, Software Features
ASI – Addiction Severity Index:

 Graph numeric results from ASI responses.
 Functionality to display the ASI entry screens in tabbed sections on one screen.
 Create functionality to display ASI test date, type of interview and interviewer and responses
to previous interviews.
 Create Item report with narrative responses.
 Create Narrative reports from ASI responses.
 Create Follow-up report from ASI interviews and responses.
GAF – Global Assessment of Functioning:

 Present GAF scores in a graphical format.
 Display on-line cross-reference data with rate criteria.
 Provide functionality to notify the user when selected patients have not had a GAF Score
within the last 90 days. (GAF Due tab).
Psychological Tests and Interviews:

 Graph single scale instruments to reflect trend in patient symptoms.
 Create an order entry screen to select tests and interviews.
 Create an option for entry of tests and interviews by patients.
 Create an option for entry of tests and interviews by staff.
 Graphical representation of multi-scale instruments.
 Create a report of incomplete tests, interviews and batteries by date.
 Create a report to print results of psychological interviews and tests.
June 2003 VistA MHA V. 2 Patch YS*5.01*76 7

Installation Guide
Introduction
VistA MHA 2, Functionality
MHA Version 2 exports the Graphical User Interface (GUI) to the MHP most frequently used
functionality (i.e., Addiction Severity Index (ASI), Global Assessment of Functioning (GAF),
and Psychological testing).
Addiction Severity Index (ASI):

 Enhances the ability of staff to enter ASI data into VistA by clinicians, patients, and data-
entry clerks.
 Enhances the ability of staff to retrieve reports.
 Simplifies entry of ASI interview responses.
 Presents ASI scores from multiple interviews in sections and in graphical format.
 Provides functionality to assess multiple interviews simultaneously.
 Displays narrative and item reports in a text format.
 Checks the internal consistency of the ASI items.
 Displays graphically item trends and domain scores for ASI.
 ASI tab - lists all previous ASI interviews and makes it easy to view either the item report or
narrative report for a selected interview. To help with ASI performance measure compliance,
the interval since the last interview is displayed. Two new ASI data view functions (i.e.,
Domain Scores and Item Trends) are created by the MHA software application. These new
data view functions present graphical and tabular data across multiple interviews. The
Domain Scores gives the user the opportunity to see either problem severity ratings or
evaluation factor scores. The new Item Trends displays responses to selected individual
items. These ASI data view options will assist with treatment planning and treatment
outcome monitoring. A user-friendly interface for entering interview data is provided. This
function enables staff to quickly enter data, to easily jump from one item to another, and to
enter free text comments at any time. This should greatly reduce data entry time, whether
transcribing interview results from a paper form, or entering them on-line during an
interview.
8 VistA MHA V. 2 Patch YS*5.01*76 June 2003

Installation Guide
Introduction
Global Assessment of Functioning (GAF)

 MHA 2 provides text and graphical reports of historical data stored in the VistA Mental
Health Package V. 5.01. This enhances the ability of the staff to enter and retrieve GAF
ratings.
 Presents GAF scores in a graphical format.
 GAF reminder
 Associates GAF criteria with the rating made.
 Graphs of previous GAF ratings.
 GAF tab - provides the user with an easy way to enter GAF ratings and to see previous
ratings, which are graphed to indicate trends. When entering a new rating, the rating is
associated with the GAF rating criteria. It is anticipated this association will increase the
reliability of ratings and reduce inter-rater variability in the assignment of GAF ratings.
Psychological Tests and Interviews:

 Enhances the ability of both staff and patients to enter psychological test data.
 Creates reports and graphical displays of complex tests by sub category or scales. Allows user
to select sets of scores to graph for multi-scale tests.
 Creates psychological test order windows that displays tests that can be ordered based on the
provider privileges.
 Allows users to select multiple tests, interviews, and batteries.
 Provides functionality to display a combination of scale scores, tables and graphs for an
individual patient on one screen.
 Graph multiple instances of the same tests (i.e., 4 CAGE tests given on 4 days).
 Allows user to copy to the Windows clipboard or to save to a file, text reports, data tables, or
graphs.
Test Results Tab:

 All previous tests completed by selected patient are listed on the Test Results tab. A text
report is shown for the selected test, and graphs of numeric scores are available across all
instances of a given test.
Order Tests Tab:

 The Order Tests tab allows the user to specify the staff ordering the test and to select from
tests that are available to the staff ordering the test. Three data entry modes are available: (1)
Staff entry is optimized for the entry of staff rating data (e.g., the AIMS), which requires the
user to see the test questions and answers. (2) Clerk entry is optimized for transcribing test
data from paper answer sheets. (3) Patient entry is optimized for on-line testing of patients.
The patient entry option contains security features to prevent unattended patients from using
the PC in unauthorized ways.
Patient Demographics
 Displays patient demographics data, which can be printed, copied to the Windows clipboard,
or saved to a text file.

Installation Guide
Introduction
Secure Desktop Information
NOTE: The Patient Entry window is the only test data entry method that activates the Secure
Desktop features. Therefore, neither Staff Entry nor Clerk Entry should be used for the on-line
testing of patients.
The Secure Desktop is a set of security features intended to prevent unattended patients taking
on-line tests from using the PC for other purposes. Secure Desktop commands the Patient
Entry window to cover the entire PC desktop. Non-alphanumeric keys are trapped to keep the
patient from using the task bar and operating system functions (such as Task Manager).
The following security features cannot be defeated once the Patient Entry window becomes
active, so it is essential that all other applications be closed and data saved before Patient Entry
begins:
 Excessive non-alphanumeric keystrokes are interpreted as “hacking” efforts and MHA is

terminated.
 At the end of the testing session, MHA is terminated.
 On termination of MHA, the Windows NT session is logged off, which means the user has to
enter their NT user name and password to log back on to the desktop.

Installation Guide
Introduction
Patient Entry Window
Example: The following Patient Entry window activates the secured desktop features when
the Patient Entry is selected. After the Patient Entry selection is made, two Warning dialog
boxes are displayed.

Installation Guide
Introduction
First Warning Dialog Box
Example: The first Warning Dialog Box states “After this programs ends, it is going to
automatically log you off from the Windows NT Network.” Click on the YES command button
to proceed. The YES command button response displays a second Warning dialog box. Click
Cancel to return to the Windows NT Network.
Second Warning Dialog Box
Example: The second Warning dialog box states, “Use ONLY Alpha-Numeric Keys on the
keyboard from this point on.” Click on the OK command button to continue the Patient Entry
functions.

Installation Guide
Introduction
Authorized Keystrokes
Authorized keystrokes are entered in response to the on-screen questions. Authorized keys are
A..Z, a..z, 0..9, ENTER and SHIFT key. Keystrokes trigger the next question to be displayed.
Unauthorized Keystrokes
Unauthorized keystrokes are entered in response to the on-screen questions. Unauthorized

keystrokes are all that are not listed above. Keystrokes trigger the default Windows screensaver
to activate, hiding what else is on the screen display. Keystrokes have no other significant effect
on the psych test. USER MUST NOT BE ABLE TO ACCESS UNAUTHORIZED DATA OR
PROGRAMS.
Excessive Use of Unauthorized Keystrokes
Strike 5-10 unauthorized keystrokes. Windows shuts down all active programs and logs off the
current user, forcing a user to log on again.
Termination of Mental Health Assistant
Complete a test window shuts down all active programs and logs off the current user, forcing a
user to log onto the system again.

Installation Guide
Introduction

Installation Guide
Enhancements and Modifications
MHA Version 2, Patch YS*5.01*76 is following exporting the following software changes:
Enhancements:
1. Four new psychological tests, the Millon Behavioral Medicine Diagnostic (MBMD), the Beck
Depression Inventory-II (BDI2), the Millon Clinical Multiaxial Inventory-III (MCMI3) and the
Brief Symptom Inventory 18 (BSI18) have been added to the MH INSTRUMENT file (#601).
All can now be administered using MHA. The results of the MCMI3, the BSI18, and MBMD
can be viewed using the multi-scale graph window (the BDI2 is a single scale instrument).
Context sensitive descriptions of the new tests were added to the Help file.
2. Entries to the COPYRIGHT HOLDER file (#601.3) have been made for the new
psychological tests MBMD, BDI2, MCMI3, and BSI18.
3. For the psychological test Minnesota Multiphasic Personality Inventory-2 (MMPI2), several
changes have been made in the scales that are scored and displayed. Five new scales are now
scored (the PSY-5 Personality Psychopathology Five). The Subtle-Obvious and Non-K Corrected
scales are no longer scored or displayed. The user can choose to display all validity scales at
once (Expanded Validity) or just the L, F, K scales (Basic Validity). In MHA Version 2 the multi-
scale graph option has been revised to display the new scales.
4. On the main window of Test Results, Order Tests, ASI or GAF tabs, a right mouse click brings
up a pop-up menu with options for each of the enabled buttons on the active tab.
5. A pop-up menu was added to the window used for graphically displaying the results of both
multi-scale tests and ASI domain scores. The pop-up menu, which is activated by a right-click,
permits the user to copy, print or save either a graph or a table.
6. If MHA is launched from the CPRS Tools menu, MHA accepts parameters (such as Patient
DFN) passed by CPRS. This eliminates the need to select a patient a second time and ensures
that the same patient is always selected by both applications if both are open. When CPRS is
closed, MHA will be closed automatically.
7. MHA can be launched from the CPRS Tools menu without having to sign on a second time if
the RPC Broker workstation client software is installed on the PC and single sign-on is enabled
on VistA.

Installation Guide
Introduction
8. Upon closing the Staff Entry window, the user is given the option of saving the test results to
VistA. Previously, the option of saving results were given only if all the test questions had not
been answered. Completed tests were automatically saved. The change gives the user control
over whether the data are saved and makes the exit process the same whether the test was
completed or not.
9. To make the patient selection key sequence the same as that used in CPRS, the Select Patient
menu caption was changed from “Select New Patient” to “Select New Patient”.
10. If a patient is deceased, the user is notified of that and asked if they want to proceed before
allowing entry of a new GAF rating, psychological test, or ASI. If the user proceeds, the GAF
rating date or ASI admission/interview dates cannot be greater than the date of death.
Constraining the date of psychological test data for staff and clerk entry will require a
modification to the MH INSTRUMENT file (#601).
11. ASI comment fields were saved to VistA in a way that caused word wrap problems. The
comments fields now are formatted correctly.
12. In MHA Version 1, the ASI data-entry form, when clicking on an up or down arrow in a spin-
edit item, the spin-edit item with focus was increased or decreased. Any up or down arrow click
would have its impact on the field with focus, even arrows for other items. The current version
allows only the up and down arrows associated with that spin-edit item to have any effect.
13. In MHA Version 1, the executable was named YS50171_MHA.exe to reflect both the
associated VistA Patch YS*5.01*71 and the Delphi application build number (123). However,
this method of naming the executable will require a new name with each release, which will
increase the difficulty of installing future releases. In MHA Version 2, the executable is named
YS_MHA.exe, which will be used for all future MHA software releases.

Installation Guide
Introduction
Modifications
1. In MHA Version 1, some windows were closed by a button captioned “Close” and others were
closed by a button captioned “Return”. All such buttons are now captioned “Close”.
2. On the Staff Entry window, the button that returns the user to a previously answered question
was captioned “Back Up.” Because this caption could be misunderstood as meaning data would
be saved to a backup archive, the caption was changed to “Previous.”
3. By convention, “OK” buttons appear to the left of “Cancel” buttons, but on some MHA
windows their positions were reversed. These two buttons now appear in conventional order on
all windows.
4. To make them more readable, the “>” captions on the buttons on the Order Tests tab were
changed to bold font.
5. The MMP2S is a short form of the MMPI2. In MHA Version 1, scores from the two forms of
the test could not be compared on the multi-scale graph window. The user is now given that
option.
6. When printed, graphs did not include the patient name and yellow lines were not visible on
monochrome printers. Patient name is now a footer on all printed graphs, and the yellow lines
have been made black.
7. The following instruments in the MH INSTRUMENT (#601) file: 16PF, MMPI, M168,
MCMI, CES, CPI, FES, FIRO, GES, MYER, WES, and SII are copyrighted tests that VACO
does not have a license to use. When the user selects one of these instruments they receive the
message “USER,MARK is NOT AUTHORIZED to order Instrument GES.” Now, when the user
selects one of these instruments the message returned is “[VACO currently does not have a
license to use this test].” This message is only displayed on the list manager version of Mental
Health V. 5.01. In the MHA GUI non-copyrighted tests that VACO does not have a license to use
are not viewable from Available Lists box.
8.The ASI NARRATIVE file (#604.68) data has been edited to correct problems with the logic
and executable code to produce a report for the Addiction Severity Index that reads like a
clinician's written report. The entries modified are GENERAL, FULL ITEM REPORT, LITE
ITEM REPORT, FOLLOWUP ITEM REPORT, FOLLOWUP NARRATIVE, ASI-MV ITEM
REPORT and the ASI-MV NARRATIVE.
9. During initialization of the main window of the Test Results tab, the appropriate notice did not
appear if the user did not have the YSP key and the first test in the list of previous tests was non-
exempt.

Installation Guide
Introduction
10. An error occurred if the Domain Scores button on the main window of the ASI tab was
clicked for a patient for whom there were no complete ASI records to display. This problem was
corrected by disabling the button if the patient did not have at least one signed ASI with all
questions answered (i.e., not a G-12 record).
11. Short-cut keys were working on the main, staff entry and clerk entry windows even though
the Alt key was not pressed. This has now been corrected to work only when the Alt key has
been pressed.
12. Signing an ASI-MV was not possible without first loading the data into the ASI data entry
window. Because there are some differences between the ASI-MV and a regular ASI, loading the
ASI-MV into the ASI data entry window caused data validation errors when the record was
saved to VistA. Signing an ASI-MV is now possible without loading the results into the data
entry window.
13. Incorrect source code was used to determine whether the user was the ASI interviewer, who
is the only person who can sign the interview. Consequently, a new ASI could not be signed
without first saving it to VistA and then reloading it into the data entry window.
14. On the main window of the Order Tests tab, if either the list box containing test choices or
the list box containing tests that had been selected had focus, context sensitive help was not
available for the selected test in the list box. The context ID of the selected test now is set on the
list box click event.
15. In MHA Version 1, ASI comments were not saved for Spiritual Status and Leisure Time
Status. In MHA Version 2, these comments are now saved.
16. Sometimes, when MHA Version 1, is run as a server application, the Help file could not be
found. In MHA Version 2, the help file path is now dynamically set.
17. When using option, Delete unsigned ASI [YSAS ASI DATA DELETION] the user received
an error %DSM-E-STRLEN, string too long, DSM-I-ATLABEL, TLD+11^YSASSEL:1. This
error occurred on a test patient. An initial ASI is administered to a patient once they enter the
substance abuse program. A follow-up ASI is then administered every six months the patient is in
the program. This error has been corrected by lowering the $PIECE field position TO from 40 to
20.
18. When a user selects the multi-graph button for multi-graph tests (i.e., MMPI2) undefined
variable error occurs. This error has been corrected.

Installation Guide
Introduction
19. When a user selects the multi-graph button for multi-graph tests for the SF36 and the score
equals 100, they received an “invalid integer” message. On the multiscale window, the table now
lists the correct scale scores (i.e., real numbers, not integers). This has been corrected in the
MHA GUI source.
20. The instruction text for patient administered tests in MHA Version 1, is too small and did not
contrast well with the grey background. In MHA Version 2, the font size has been increased to 10
points and the background color has been changed to white.

Installation Guide
Introduction

Installation Guide
Security Information
This section addresses any unique legal requirements and responsibilities pertaining to the
Mental Health Assistant Version 2, software application and necessary security measures to
protect the integrity of the software and its data.
Security Management
There are no unique legal requirements pertaining to Mental Health Assistant software
application with the exception that some of the psychological tests are copyrighted. Copyrighted
tests are used by permission of the copyright holders. Use of these tests must be consistent with
contracts between VHA and copyright holders.
Security Features:
Secure Desktop
Secure Desktop is a set of security features intended to prevent unattended patients taking on-line
tests from using the Personal Computer (PC) for other purposes. The Secure Desktop features
construct the Patient Entry window to cover the entire PC desktop. Non-alphanumeric keys are
trapped to keep the patient from using the task bar and operating system functions (such as Task
Manager). The Patient Entry function is the only test data entry method that activates the Secure
Desktop features. Therefore, neither Staff Entry nor Clerk Entry should be used for the on-line
testing of patients. The Secure Desktop security features cannot be defeated once the Patient
Entry window becomes active. Excessive non-alphanumeric keystrokes are interpreted as
“hacking” efforts and MHA is terminated. At the end of the testing session, MHA is terminated.
Upon termination the Windows NT session is logged off, which means the user has to enter their
NT user name and password to log back on to the desktop.
Mail Groups:
No mail groups are required for MHA Version 2 software release.
Alerts:
No alerts are required for MHA Version 2.

Installation Guide
Introduction
Remote Systems:
All GAF scores entered through the Mental Health Assistant GAF tab are dynamically sent to the
National Patient Care Database (NPCD) at the Austin Automation Center (AAC).
VistA MHA 2, contains the following Remote Procedures (RPCs):
MH YT and YS RPCs
YTAPI ASI FACTORS

YTAPI ASI LISTER
YTAPI ASI PNOTE
YTAPI ASI SAVE DATA
YTAPI ASI SIGNER
YTAPI CLERK RESPONSES
YTAPI GET ASI RESPONSES
YTAPI GET INCOMPLETE
YTAPI LIST INCOMPLETES
YTAPI LISTALL
YTAPI LISTONE3
YTAPI NEW ASI
YTAPI NEW GAF
YTAPI OUTNOTE
YTAPI PREVIEW
YTAPI PRIVLEGE
YTAPI QUEST
YTAPI SAVE INCOMPLETES
YTAPI SAVE TEST COMMENT
YTAPI SAVEIT
YTAPI SCOREIT
YTAPI SHOWALL
YTAPI SHOWIT
YTAPI TEST BATTERY
YTAPI TEST BULLETIN
YTRP INSTRUMENT REPORT
YSRP ASI ITEM
YSRP ASI NARRATIVE

Installation Guide
Introduction
Registration DG RPCs
NAME: DGWPT CLINRNG TAG: CLINRNG

ROUTINE: DGWPT RETURN VALUE TYPE: ARRAY
DESCRIPTION: Returns a list of selectable options from which a user
can choose a date range for appointments.
NAME: DGWPT DFLTSRC TAG: DFLTSRC

ROUTINE: DGWPT RETURN VALUE TYPE: SINGLE VALUE
DESCRIPTION: Return user’s default patient list source.
NAME: DGWPT DIEDON TAG: DIEDON

DESCRIPTION: Returns date of death if patient has expired. Otherwise
returns 0.
NAME: DGWPT SAVDFLT TAG: SAVDFLT

DESCRIPTION: Saves user's preference for default list source.
NAME: DGWPT SELCHK TAG: SELCHK

DESCRIPTION: Returns a 1 if the patient record is flagged as sensitive,
otherwise returns 0.
NAME: DGWPT SELECT TAG: SELECT

DESCRIPTION: RPC to return key information on a patient as follows:
1 2 3 4 5 6 7 8 9 10 11 12 13 14
NAME^SEX^DOB^SSN^LOCIEN^LOCNM^RMBD^CWAD^SENSITIVEÂDMITTED^CONV^SC^SC%ÎCN
NAME: DGWPT TOP TAG: TOP

DESCRIPTION: Returns the last selected patient by the defined user.
NAME: DGWPT1 PRCARE TAG: PRCARE

ROUTINE: DGWPT1 RETURN VALUE TYPE: SINGLE VALUE
DESCRIPTION: Return primary care information for a patient in the format:
VAL=Primary Care Team^Primary Care ProviderÂttending
NAME: DGWPT BYWARD TAG: BYWARD

DESCRIPTION: Returns a list of patients currently residing on a specified
ward location.

Installation Guide
Introduction
Archiving/Purging:
MHA 2 software does not include archiving and/or purging capabilities.
Contingency Planning:
Each facility using the MHA software application must develop a local contingency plan to be
used in the event of application problems in a live environment. The facility contingency plan
must identify procedures used for maintaining the functionality provided by the software in the
event of a system outage.
Interfacing:
The non-menu option, YS BROKER1 [YS BROKER1] contains the context necessary to
interface MHA Version 2, software application to the VistA database.
Electronic Signatures:
MHA Version 2, Addiction Severity Index (ASI) software component utilizes the electronic
signature functionality.
Menus
MHA 2 software does not contain any menu options of particular interest to Information Security
Officers (ISOs).
Security Keys:
MHA 2, software application did not release any new security keys. However, the YSP security
key is required to control access to the results of “non-exempt” tests. Holders of the YSP security
key are controlled (i.e., given out by the Chief of Psychology or a senior psychologist) at a
facility that does not have a Chief of Psychology. The Chief of Psychology or senior
psychologist also determines which tests are “exempt” (i.e., the results can be seen by anyone),
and which are “non-exempt” (i.e., require the YSP key to see the results).

Installation Guide
Introduction
File Security:
There is no file security associated with the release of MHA Version 2 software application.
References:
Kernel V. 8.0 Systems Manual
Official Policies:
There is no official policy unique to the MHA Version 2 software application regarding the
modification of the software and distribution of the product.

Installation Guide
Introduction

Installation Guide
Pre-Installation Information
The following information contains recommendations and requirements that should be

acknowledged prior to installing VistA Mental Health Assistant Version 2 Patch YS*5.01*76:
Recommended Users:
Information Resources Management (IRM) Staff
IRM staff is recommended for installing and supporting MHA 2, Patch YS*5.01*76
requirements.
Mental Health Clinicians
It is recommended that Mental Health clinicians enter the MH patient demographics data and
define the MH interviews parameters.
Test Sites
MHA 2 Patch YS*5.01*76 has been tested at the following sites:
Test Sites Hardware Platform
Miami VAMC, FL DEC Alpha VMS/DSM
Minneapolis VAMC, MN Wintel NT/Cache
North Florida/South Georgia Veterans Health DEC Alpha VMS/DSM

Care System (Gainesville/Lake City)
VA North Texas Health Care System DEC Alpha VMS/DSM

(Dallas/Bonham)
VA Health Care Network Upstate New York DEC Alpha VMS/DSM

System
VA Salt Lake City Health Care System DEC Alpha VMS/DSM

Installation Guide
Windows Conventions
MHA 2 software application uses a Graphical User Interface (GUI) for the startup, setup, and
assignment functions.
VistA Operating System
Mental Health V. 5.01 Package currently runs on the standard hardware platforms used by the
Department of Veterans Affairs Health Care System facilities. These hardware platforms consist
of standard or upgraded Alpha AXP clusters, and run either VMS or NT and the Open M product.
All current 486 sites are being converted to Alpha 1000A AXP Cluster, NT and Open M
platforms.
VistA Operating System Performance Capacity
There are no significant changes in the performance capacity of the VistA operating system once
the Mental Health Assistant Version 2 Patch YS*5.01*76 is installed. The software application
should not create any appreciable global growth or network transmission problems. There are no
memory constraints.
MHA Central Processing Unit (CPU) Requirement
MHA 2 software application for Windows 2000 or NT Operating System CPU requirement is a
minimum of 133 MHz.
MHA Software Application Installation Time
MHA 2 Patch YS*5.01*76 installation time is less than 5 minutes during off peak
hours.
Users on the System
MHA users may remain on the system. However, installation of Patch YS*5.01*76, should be
done during off peak hours.

Installation Guide
Pre-Installation Instructions
Backup Routines
It is highly recommended that a backup of the transport global be performed before installing the
VistA Mental Health Assistant Version 2, Patch YS*5.01*76.
Kernel Installation and Distribution System (KIDS)
Mental Health Assistant Version 2 Patch YS*5.01*76 distribution is using KIDS.
NOTE: For further instructions on using KIDS, please refer to the Kernel Version 8.0 Systems
Manual.
Namespace
Mental Health Assistant Version 2 Patch YS*5.01*76 namespace is YS.
MHA 2 Software Application Requirements
The following software MUST be installed prior to installing MHA 2, patch YS*5.01*76:
Software Applications Versions

Kernel 8.0
VA FileMan 22.0
Mailman 7.1
RPC Broker 1.1
Toolkit 7.3
Mental Health 5.01
Required Patches
The following patches MUST be installed prior to installing MHA 2 Patch YS*5.01*76:
Software Applications Patches

Mental Health V. 5.01 YS*5.01*38
YS*5.01*53
YS*5.01*54
YS*5.01*67
YS*5.01*71

Installation Guide
MHA 2 Menu/Options Changes
YS Broker1 [YS BROKER1] Option
The non-menu option, YS BROKER1 [YS BROKER1] contains the context necessary to
interface the VistA Mental Health Assistant Version 2 software application to the VistA database.
Database Integration Agreements (DBIAs)
The following DBIAs were approved for the release of VistA MHA software application:
DBIA #418 - Mental Health is also a subscriber to IA #418. This agreement is written more
specifically than IA #564 and outlines the fields and cross-references access by the application.
IA #564 gives the access by nodes rather than field names. Requested the additional cross-
reference be added to #418.
DBIA #564 - Mental Health has subscribed to IA #564, but we also need to do a Global Read of
^DGPT("AF".
DBIA #1024 - Health Summary accesses file ^DIC(40.7, to display the Name of the Clinic Stop
in one of its components.
DBIA #1649 - ORQPT DEFAULT PATIENT LISTS: This remote procedure returns the current
user's default patient list wards to be used in the Mental Health Assistant GUI.
DBIA #1676 - ORQPT WARDS: This remote procedure returns a list of wards to be used in the
Mental Health Assistant GUI.
DBIA #3371 - ORWU HASKEY: This remote procedure returns 1 if a user holds a security key,
otherwise 0 to be used in the Mental Health Assistant GUI.

Installation Guide
Data Dictionary Changes
The following files changes were created for the MHA GUI Version II:
MH INSTRUMENT file (#601):
The MH INSTRUMENT file (#601) was edited to add the following four new psychological
tests:
 Millon Behavioral Medicine Diagnostic (MBMD)
 Beck Depression Inventory-II (BDI2)
 Millon Clinical Multiaxial Inventory-III (MCMI3)
 Brief Symptom Inventory 18 (BSI18)
MH INSTRUMENT file (#601) message text was changed from “BLOW, JOE is NOT
AUTHORIZED to order Instrument GES” to “[VACO currently does not have a license to use
this test]” because the following instruments stored in this file are copyrighted tests and VA
Central Office (VACO) does not have a license to use: 16PF, MMPI, M168, MCMI, CES, CPI,
FES, FIRO, GES, MYER, WES, and SII.
NOTE: This message is only displayed on the roll ‘n’ scroll version of Mental Health V. 5.01.
The Minnesota Multiphasic Personality Inventory-2 (MMPI2) psychological test contains several
changes in the scales that are scored and displayed. Five new scales are now scored (i.e., PSY-5
Personality Psychopathology Five). The Subtle-Obvious and Non-K Corrected scales are no
longer scored or displayed. The user can choose to display all validity scales at once (Expanded
Validity) or just the L, F, K scales (Basic Validity).
COPYRIGHT HOLDER file (#601.3):
This file was edited to add three of the four new psychological tests (i.e., MBMD, MCMI3 and
BSI18). The new psychological test BDI2 is non-copyrighted and does not need to be added to
the COPYRIGHT HOLDER file (#601.3).
ASI NARRATIVE file (#604.68):
ASI NARRATIVE file (#604.68) was modified to correct problems with the logic and
executable code that produces the Addiction Severity Index Report that reads like a clinician's
written report. The entries modified are GENERAL, FULL ITEM REPORT, LITE ITEM
REPORT, FOLLOWUP ITEM REPORT, FOLLOWUP NARRATIVE, ASI-MV ITEM REPORT
and the ASI-MV NARRATIVE.

Installation Guide
Remote Procedures
VISTA MHA Patch YS*5.01*76, uses the following Remote Procedures (RPCs):
MHA New YT RPCs

NAME: YTAPI ASI FACTORS TAG: EN
ROUTINE: YSASFS RETURN VALUE TYPE: ARRAY
AVAILABILITY: SUBSCRIPTION
DESCRIPTION: Input IEN of file 604, Addiction Severity Index. Returns the 5
factor scores for an ASI in the following format:
YSDATA(1)=[DATA]
YSDATA(2)=ALCOHOL^FACTOR SCORE^T SCORE
YSDATA(6)=LEGAL^FACTOR SCORE^T SCORE

INPUT PARAMETER: IEN REQUIRED: YES
DESCRIPTION: An IEN for file 604 "Addiction Severity Index".
NAME: YTAPI ASI LISTER TAG: LISTASI

ROUTINE: YTAPI8 RETURN VALUE TYPE: ARRAY
DESCRIPTION: This API lists all ASI administrations for a specified patient.
Input required: DFN (ien of file 2)
Output is in the following format:
YSDATA(1)=[DATA]
YSDATA(2)= IEN^DATE OF INTERVIEW^CLASS^SPECIALÊSIGNED
YSDATA(X)= IEN^DATE OF INTERVIEW^CLASS^SPECIALÊSIGNED
0 RETURNED IF NO ADMINS
NAME: YTAPI ASI PNOTE TAG: ASIPN

DESCRIPTION: This API creates a Pnote in TIU based on the ASI report.
Input required: IEN of file 604, Addiction Severity Index.
Output is only to show success or failure of the operation.
YSDATA(1)=[DATA]/[ERROR]
YSDATA(2)=OK Progress Note created/No Pnote entered

Installation Guide
NAME: YTAPI ASI SAVE DATA TAG: SAVASI

DESCRIPTION: This API saves data to the file 604, Addiction Severity Index.
Required input: YSIEN ,ien of the file 604 entry
YS(1)=file 604 field number^value to save
YS(x)=file 604 field number^value to save
Output: only to indicate success vs error
YSDATA(1)=[DATA]
YSDATA(2)=OK ASI SAVE YSIEN
NAME: YTAPI ASI SIGNER TAG: SIGN

DESCRIPTION: Allows interviewer to sign ASI, transcriber to "sign off" and
send
a bulletin.
Input Required:
CODE: electronic signature code
IEN: ien of ASI in file 604
Output: reports on status of the operation only

YSDATA(1)=[DATA]
YSDATA(2)=1ÂSI SIGNED
NAME: YTAPI CLERK RESPONSES TAG: CLERK

DESCRIPTION: This API returns the possible answer alternatives for each
question in a test or interview from file 601, Psychological Testing
Input Required: Code , the test/interview code ie MMPI2

Output: YSDATA(1)=[DATA]
YSDATA(x)=Question numberÂ^string with approriate answers (i.e.,
TFX)
NAME: YTAPI GET ASI RESPONSES TAG: GETASI

DESCRIPTION: This API returns the ASI responses for a specified ASI
administration.
Input required: DFN ; ien of file 2 Patient

IEN; ien of file 604 Addiction Severity Index
YSDATA(x)= Field #^Question nameîs it RequiredÂnswer

Installation Guide
NAME: YTAPI GET INCOMPLETE TAG: GETINC

DESCRIPTION: API to retrieve partially completed psychological tests.
Input Required: DFN ien of file 2 Patient

YSCODE; code for entry in file 601 Psychological Testing
Output:
YSDATA(1)=[DATA]
YSDATA(2)=INSTRUMENT^DATE ENTERED^DATE ADMINISTERED CLERICALLY^NEXT
ITEM^VALID RESPONSE STRING^CLERK TESTÔRDERED BY^DATE BEGUN
YSDATA(3)=responses 1-200
NAME: YTAPI LIST INCOMPLETES TAG: LISTINC

DESCRIPTION: API to return a list of incomplete psychological tests.
Input Required: DFN ; ien of file 2 Patient

YSDATA(X)=CODE^DATE OF ADMIN^(not) restartable
NAME: YTAPI LISTALL TAG: LISTALL

ROUTINE: YTAPI RETURN VALUE TYPE: ARRAY
AVAILABILITY: AGREEMENT
DESCRIPTION: This API returns all psychological test administrations for a
specified patient during a specified time period. No scoring is returned.
ASI s and optionally GAF s are also returned.
Input:
DFN : patient internal identifier
BEGIN: inclusive date in %DT acceptable format (11/11/2011)
to begin search [optional]
END: inclusive date in %DT acceptable format (11/11/2011)
to end search [optional]
CODE: YS("CODE")="GAF" set to optionally return GAF
administrations
Output:
YSDATA(1)=[DATA]
YSDATA(x)= internal administration dateêxternal administration
date^test code
Data is sorted in order of most recent administration to the

oldest administration.
If no administrations are found YSDATA(2) will not be returned.

Installation Guide
NAME: YTAPI LISTONE TAG: LISTONE

ROUTINE: YTAPI RETURN VALUE TYPE: ARRAY
DESCRIPTION: This API returns all psychological test administrations for
a specified patient during a specified time period for a specified test
or instrument. If a scale is also specified, scoring for that scale is
returned. User must have adequate privileges to receive this information
(i.e., often the YSP KEY).
Input:
CODE: Test code from file 601 including "ASI" and "GAF" e.g.
"CAGE", "BDI"
BEGIN: inclusive date in %DT acceptable format (11/11/2011) to begin
search [optional]
END: inclusive date in %DT acceptable format (11/11/2011) to end
search [optional]
LIMIT: constrains to the last N administrations [optional]
Scale: scale number from file 601 or 1-7 on ASI [optional]
Output:
YSDATA(1)=[DATA]
YSDATA(x)= internal administration date ^ external administration
date^test code [^scale name^raw score^transformed score]
Data is sorted in order of most recent administration to the oldest

administration.
If no administrations are found Array(2) will not be returned.
If patient has no psych testing at all an error will be returned.
NAME: YTAPI NEW ASI TAG: ADDER

DESCRIPTION: This remote procedure allows new entries to be added to the
ADDICTION SEVERITY INDEX file (#604).
Input required: none

Output:
YSDATA(1)=[DATA]
YSDATA(2)= IEN created in file 604

Installation Guide
NAME: YTAPI NEW GAF TAG: ENT

ROUTINE: YSGAFAP1 RETURN VALUE TYPE: ARRAY
DESCRIPTION: Allows entry of a new GAF rating.
Input Required:
DFN - Patient IEN
GAF - GAF Score (Axis 5)
DATE - Date/Time of Diagnosis
STAFF - Diagnosis By DUZ
Output: only reports success vs. error
YSDATA(1)=[DATA] VS. YSDATA(1)=[ERROR]
NAME: YTAPI OUTNOTE TAG: OUTNOTE

DESCRIPTION: This API returns text to be entered in a progress note
based on the outcome of a test administration. Input is the output of
SCOREIT or PREVIEW API. Output adds this text to the output YSDATA
Input:
Array(2)= Patient Name^Test Code^Test TitleÎnternal Admin dateÊxternal
Admin Date Ôrdered by
Array(3)=R1^Responses 1-200 undelimited
Array(4)=R2^ Responses 201-400 undelimited (even if less than 200)
Array(5)=R3^ Responses 401-600 undelimited
Array(6)=S1^Scale Name^Raw Score^Transformed Score
Array(7)=S2^ Scale Name^Raw Score^Transformed Score
And onward as needed
Output:
Array("ON")= output text

Installation Guide
NAME: YTAPI PREVIEW TAG: PREVIEW

DESCRIPTION: This API allows scoring of patient responses to a test or
interview without making changes in the M database. The patient ien,
the test code, and administration date is required along with the
responses. All responses are checked for validity. Scoring is returned
in the output documented in the SCOREIT API.
Input:
DFN: patient internal identifier
CODE: Test code from file 601 or "ASI" e.g. "CAGE", "BDI"
ADATE: inclusive administration date in %DT acceptable format
(11/11/2011)
Staff: DUZ of professional ordering the test
R1: string of patient responses 1-200
R2: string of patient responses 201-400 [as needed]
Output:
NAME: YTAPI PRIVLEGE TAG: PRIVL

DESCRIPTION: Returns user privilege to see psych test results.
Input: YSCODE; code of test or interview to check privileges for Output:

YSDATA(1)=[DATA]
YSDATA(2)=1ûser privileged for all tests or
YSDATA(2)=1êxempt test" or
YSDATA(2)=1înterview or
YSDATA(2)=1êxempt test or
YSDATA(2)=0^no access

Installation Guide
NAME: YTAPI QUEST TAG: QUEST

AVAILABILITY: RESTRICTED
DESCRIPTION: Returns flat array with data about a psychological test.
This API returns the text, bottom, introduction and possible correct
responses for all items in a test in file 601. It will work only for
tests as opposed to interviews or batteries. The ASI is not supported.
Input:
CODE: Test code from file 601 e.g. "CAGE", "BDI"
Output:
Array(1)=[DATA] ;indicates successful call
Array(2)=MMPI2 ;SECOND LINE IS TEST Code
Array(x)=first item numberÎîntroductory text
Array(x)=first item number^T^text of question
Array(x)=first item numberÂâllowed responses
Array(x)= first item number^R^response cues
Array(x)=last item numberÎîntroductory text

Array(x)=last item number^T^text of question
Array(x)=last item numberÂâllowed responses
Array(x)=last item number^R^response cues
NAME: YTAPI SAVE INCOMPLETES TAG: SAVEINC

DESCRIPTION: API to save responses of partially completed psychological
tests.
Input:
DFN ;ien of file 2 Patient
YSCODE: code of test in file 604
YSNEXT: next item number to be answered
YSORDER: DUZ of staff ordering test
R1: array of answers 1-200
Output:
YSDATA(1)=[DATA]
YSDATA(2)=saved ok

Installation Guide
NAME: YTAPI SAVE TEST COMMENT TAG: ADDCOMM

ROUTINE: YTRPEXT RETURN VALUE TYPE: ARRAY
DESCRIPTION: This API is used to add comments to completed tests
and interviews.
INPUT PARAMETER: YSDATA PARAMETER TYPE: LITERAL

MAXIMUM DATA LENGTH: 200 REQUIRED: YES
SEQUENCE NUMBER: 1
DESCRIPTION: The YSDATA contains the following information:
YSDATA=DFN^DUZ^DATE/TIME TEST ENTERED^NAME OF

TESTÂUTHOR^TOTAL LINES OF COMMENT
DFN: Pointer to the Patient file

DATE/TIME TEST ENTERED: FileMan date/time format
NAME OF TEST: Test name in the MH INSTRUMENT file (#601)
DUZ and AUTHOR: Pointer to the New Person file #200
INPUT PARAMETER: YSCOMMT PARAMETER TYPE: LIST
SEQUENCE NUMBER: 2
DESCRIPTION:
YSCOMMT array contains comment lines to be filed.
RETURN PARAMETER DESCRIPTION:
RESULT(1)="[ERROR]",RESULT(2)=" No test found"
RESULT(1)="[DATA]",RESULT(2)="Save ok"
RESULT(1)="[ERROR]",RESULT(2)="Comment line not created"
RESULT(1)="[ERROR]",RESULT(2)="No comment entered"
NAME: YTAPI SAVEIT TAG: SAVEIT

DESCRIPTION: This API allows saving of patient responses to a test
or interview in the M database. The patient ien, the test code,
and administration date is required along with the responses. All responses
are checked for validity. No scoring is returned but successful addition to
the M database is indicated.
Input:
ADATE: inclusive administration date in %DT acceptable format (11/11/2011)
Staff: DUZ of professional ordering the test
R1: string of patient responses 1-200
Output:
Array(1)=[DATA] indicates successful call

Installation Guide
NAME: YTAPI SCOREIT TAG: SCOREIT

DESCRIPTION: This API returns all scoring information for a specified
patient given a specified administration date for a specified test or
instrument. User must have adequate privileges to receive this
information (i.e. often the YSP KEY).
Input:
ADATE: inclusive administration date in %DT acceptable format (11/11/2011)
Output:
NAME: YTAPI SHOWALL TAG: SHOWALL

DESCRIPTION: This API returns the text, bottom, introduction and possible
correct responses for all items in a test in file 601. It will work only
for tests as opposed to interviews or batteries. The ASI is not supported.
Input:
CODE: Test code from file 601 e.g. "CAGE", "BDI"
Output:
Array(2)=MMPI2 ;SECOND LINE IS TEST Code
Array(item number,"I",line number)=introductory text
Array(item number,"T", line number)=text of question
Array(item number,"R",0)=allowed responses
Array(item number,"R",line number)= response cues
NAME: YTAPI SHOWIT TAG: SHOWIT

DESCRIPTION: This API returns the text, bottom, introduction and possible
correct responses for a specified test item in file 601. It will work only
for tests as opposed to interviews or batteries. The ASI is not supported.

Installation Guide
Input:
CODE: Test code from file 601 e.g. "CAGE", "BDI" ITEM: a positive
whole number between 1 and the highest item number for the
specified test.
Output:
Array(2)=MMPI2^1 ;SECOND LINE IS TEST Code^ item number
Array(item number,"I",line number)=introductory text
Array(item number,"T", line number)=text of question
Array(item number,"R",0)=allowed responses
Array(item number,"R",line number)= response cues
NAME: YTAPI TEST BATTERY TAG: BATT

DESCRIPTION: Returns a list of all available test batteries and
the tests within them.
Input: none
Output:
YSDATA(1)=[DATA]
YSADAT(x)=battery name^test1^test2^test3^test4
NAME: YTAPI TEST BULLETIN TAG: SNDBUL

DESCRIPTION: When a clerk gives a psychological test by order of a
clinician, a VISTA email bulletin is sent to that clinician,
informing him/her of the administration of the test, the date, the
clerk and the patient.
Input: DFN ;ien of file 2 Patient

YSORD ;DUZ of ordering clinician
Output:
only success vs. error is reported.
YSDATA(1)=[DATA]
NAME: YTRP INSTRUMENT REPORT TAG: INTRMNT

ROUTINE: YTRPWRP RETURN VALUE TYPE: GLOBAL ARRAY
AVAILABILITY: PUBLIC WORD WRAP ON: TRUE
DESCRIPTION: This remote procedure allows staff to print out
psychological tests and interview reports.

Installation Guide
INPUT PARAMETER: YSDFN PARAMETER TYPE: LITERAL

SEQUENCE NUMBER: 1
DESCRIPTION: YSDFN is a pointer to the Patient file #2.
INPUT PARAMETER: YSXT PARAMETER TYPE: LITERAL
SEQUENCE NUMBER: 2
DESCRIPTION: This variable contains "Test Completion Date,Name
of the test", for example 3000721,223.
The Name of the test and Completion Date are field 0.1 and field 1 of the
Psych Instrument Patient file #601.2.
RETURN PARAMETER DESCRIPTION: RESULT returns the test text report for
a selected patient and a given test completion date.
NAME: YSRP ASI ITEM TAG: ASIITM

ROUTINE: YSASRPWP RETURN VALUE TYPE: GLOBAL ARRAY
WORD WRAP ON: TRUE
DESCRIPTION: This procedure prints the selected Addiction Severity Index
in a captioned format.
INPUT PARAMETER: YSASDA PARAMETER TYPE: LITERAL

SEQUENCE NUMBER: 1
DESCRIPTION: YSASDA is a pointer to the Addiction Severity Index
file (#604).
RETURN PARAMETER DESCRIPTION: RESULT contains the item report for

the selected ASI.
NAME: YSRP ASI NARRATIVE TAG: ASINAR

ROUTINE: YSASRPWP RETURN VALUE TYPE: GLOBAL ARRAY
AVAILABILITY: PUBLIC WORD WRAP ON: TRUE
DESCRIPTION: This procedure prints the selected ASI in narrative form.
INPUT PARAMETER: YSASDA PARAMETER TYPE: LITERAL
SEQUENCE NUMBER: 1
DESCRIPTION:
YSASDA is a pointer to the Addiction Severity Index file #604.
RETURN PARAMETER DESCRIPTION: RESULT contains the narrative report for
the selected ASI.

Installation Guide
New Registration DG RPCs
NAME: DGWPT CLINRNG TAG: CLINRNG

DESCRIPTION: Returns a list of selectable options from which a user
can choose a date range for appointments.
NAME: DGWPT DFLTSRC TAG: DFLTSRC

DESCRIPTION: Return user’s default patient list source.
NAME: DGWPT DIEDON TAG: DIEDON

DESCRIPTION: Returns date of death if patient has expired. Otherwise
returns 0.
NAME: DGWPT SAVDFLT TAG: SAVDFLT

DESCRIPTION: Saves user's preference for default list source.
NAME: DGWPT SELCHK TAG: SELCHK

DESCRIPTION: Returns a 1 if the patient record is flagged as sensitive,
otherwise returns 0.
NAME: DGWPT SELECT TAG: SELECT

DESCRIPTION: RPC to return key information on a patient as follows:
1 2 3 4 5 6 7 8 9 10 11 12 13 14
NAME^SEX^DOB^SSN^LOCIEN^LOCNM^RMBD^CWAD^SENSITIVEÂDMITTED^CONV^SC^SC%ÎCN
NAME: DGWPT TOP TAG: TOP

DESCRIPTION: Returns the last selected patient by the defined user.
NAME: DGWPT1 PRCARE TAG: PRCARE

ROUTINE: DGWPT1 RETURN VALUE TYPE: SINGLE VALUE
DESCRIPTION: Return primary care information for a patient in the format:
VAL=Primary Care Team^Primary Care ProviderÂttending
NAME: DGWPT BYWARD TAG: BYWARD

DESCRIPTION: Returns a list of patients currently residing on a specified
ward location.

Installation Guide
Routine Summary
The second line of the routine now looks like: <tab> 5.01;; MENTAL HEALTH;**[patch
list]**; Dec 30, 1994
Example: Checksum Values
Routine Name Before Patch After Patch Patch List

YSASFM 4829236 4845118 24,30,32,37,38,
55,76
YSASNAR 11815417 11861142 24,30,37,38,44,
55,67,76
YSASSEL 8843928 8843828 24,30,38,76
YSASPRT 2116236 2161961 24,30,38,76
YSMTI3 7243669 7694272 53,71,76
YTAPI 9597980 9459304 53,71,76
YTAPI1 3829862 3787747 53,71,76
YTAR 17157520 17228546 37,54,76
YTAR1 6302994 6356397 37,76
YTBI 10263261 13766056 76
YTBSI18 N/A 2756187 76
YTCLERK 10603997 10744720 19,76
YTCLERK1 5889838 5941523 10,19,76
YTMBMD N/A 7302508 76
YTMCMI3 N/A 7153377 76
YTMCMI3A N/A 10735202 76
YTMCMI3R N/A 6136574 76
YTMMPI2B 15991750 17200069 10,31,76
YTRPWRP 3186347 3199257 10,31,76
NOTE: Sites should use CHECK^XTSUMBLD to verify checksums.

Installation Guide
Installation Instructions
NOTE: VISTA Mental Health Assistant Patch YS*5.01*76, uses the Kernel Installation and
Distribution System (KIDS). For further instructions on using KIDS, please refer to the Kernel V.
8.0 Systems Manual.
Server:
NOTE: This patch should be installed during ‘OFF PEAK’ hours when few or no users are on
the system. Installation of the patch will take less than 5 minutes.
1. Use the ‘LOAD A DISTRIBUTION’ option on the PackMan menu. The Host File name is
YS_501_76.KID. Answer YES to the question:
“Want to Continue with Load? YES//”
2. The patch has now been loaded into a Transport global on your system. You now need to use
KIDS to install the Transport global. On the KIDS menu, under the ‘Installation’ menu, use
the following options:
Print Transport Global

Compare Transport Global to Current System
Verify Checksums in Transport Global
Backup a Transport Global
3. Users may remain on the system, but installation should be done at off peak hours.
4. Installation will take less than five minutes.
5. From the ‘Installation Menu’ of the KIDS menu, run the option ‘Install Package(s)’ Select the
package ‘YS*5.01*76’ and proceed with install.

Installation Guide
6. When prompted “Want KIDS to INHIBIT LOGONs during the install//” respond NO.
When prompted “Want to DISABLE Scheduled Options, Menu Options, and Protocols?
YES//” respond NO.
7. Place the MENTAL HEALTH ASSISTANT VERSION 2 USER MANUAL in a location that
can be accessed by MHA users.
8. Please refer to the POST INSTALLATION INSTRUCTIONS section of the MENTAL

HEALTH ASSISTANT VERSION 2 INSTALLATION GUIDE to install the MHA software.
9. Place the option YS BROKER1 [YS BROKER1] on the Mental Health users secondary menu.

Installation Guide
MHA Installation Example:
Select Programmer Options Option: KIDS Kernel Installation & Distribution

System
Edits and Distribution ...

Utilities ...
Installation ...
You have PENDING ALERTS

Enter "VA to jump to VIEW ALERTS option
You've got PRIORITY mail!
Select Kernel Installation & Distribution System Option: INSTALLation
1 Load a Distribution
2 Verify Checksums in Transport Global
3 Print Transport Global
4 Compare Transport Global to Current System
5 Backup a Transport Global
6 Install Package(s)
Restart Install of Package(s)
Unload a Distribution
PU Patch Update

Select Installation Option: 1 Load a Distribution

Enter a Host File: USER$:[LLIN]YS_501_76.KID;1
KIDS Distribution saved on Mar 18, 2003@17:36:41

Comment: MENTAL HEALTH ASSISTANT RELEASE
This Distribution contains Transport Globals for the following Package(s):

Build YS*5.01*76 has been loaded before, here is when:
YS*5.01*76 Install Completed
was loaded on Mar 18, 2003@15:57:42
OK to continue with Load? NO// YES<RET>
Distribution OK!
Want to Continue with Load? YES// <RET>

Installation Guide
Loading Distribution...
YS*5.01*76
Use INSTALL NAME: YS*5.01*76 to install this Distribution.
1 Load a Distribution
2 Verify Checksums in Transport Global
3 Print Transport Global
4 Compare Transport Global to Current System
5 Backup a Transport Global
6 Install Package(s)
Restart Install of Package(s)
Unload a Distribution
PU Patch Update

Select Installation Option: 6 Install Package(s)

Select INSTALL NAME: YS*5.01*76 Loaded from Distribution
3/18/03@17:42:0
4
=> MENTAL HEALTH ASSISTANT RELEASE ;Created on Mar 18, 2003@17:36:41
This Distribution was loaded on Mar 18, 2003@17:42:04 with header of

MENTAL HEALTH ASSISTANT RELEASE ;Created on Mar 18, 2003@17:36:41
It consisted of the following Install(s):
YS*5.01*76
Checking Install for Package YS*5.01*76
Install Questions for YS*5.01*76
Incoming Files:
601 MH INSTRUMENT (including data)

Note: You already have the 'MH INSTRUMENT' File.
I will OVERWRITE your data with mine.
601.3 COPYRIGHT HOLDER (including data)

Note: You already have the 'COPYRIGHT HOLDER' File.
601.6 MH MULTIPLE SCORING (including data)

Note: You already have the 'MH MULTIPLE SCORING' File.

Installation Guide
604.68 ASI NARRATIVE (including data)

Note: You already have the 'ASI NARRATIVE' File.
Want KIDS to INHIBIT LOGONs during the install? YES// NO<RET>

Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO<RET>
Enter the Device you want to print the Install messages.

You can queue the install by enter a 'Q' at the device prompt.
Enter a '^' to abort the install.
DEVICE: HOME//<RET> VIRTUAL CONNECTION
Install Started for YS*5.01*76 :

Mar 18, 2003@17:42:31
Build Distribution Date: Mar 18, 2003

YS*5.01*76
─────────────────────────────────────────────────────────────────────────────
Installing Routines:
Mar 18, 2003@17:42:32
Installing Data Dictionaries:

Mar 18, 2003@17:42:32
Installing Data:
Mar 18, 2003@17:42:55
Updating Routine file...
Updating KIDS files...
YS*5.01*76 Installed.
Mar 18, 2003@17:42:56
Install Message sent #8227970

─────────────────────────────────────────────────────────────────────────────
┌────────────────────────────────────────────────────────────┐
100% │ 25 50 75 │
Complete └────────────────────────────────────────────────────────────┘

Installation Guide

Installation Guide
Post Installation Instructions
After the VistA Mental Health Assistant Version 2 Patch YS*5.01*76, has been successfully
installed the following instructions must be applied for the software application to function as
designed:
Client Software:
NOTE: This version of the client software can be installed as either a patch to the existing client
software or as a new installation.
IRM Staff:
NOTE: USERS installing 1.0.2.9 software on a Window NT or Windows 2000 environment

must have Administrator privileges on the PC Workstation platform.
NOTE: In MHA Version 1, the executable was named YS50171_MHA.exe to reflect both the
associated VistA Patch YS*5.01*71 and the Delphi application build number (123). However,
this method of naming the executable will require a new name with each release, which will
increase the difficulty of installing future releases. In MHA Version 2, the executable is named
YS_MHA.exe, which will be used for all future MHA software releases.
VistA MHA 2 Files Retrieval Locations and Formats
MHA Version 2, software files are available on the following OIFOs ANONYMOUS.
SOFTWARE directories. All sites are encouraged to use their FTP capability to obtain these files.
Use the FTP address “download.vista.med.va.gov” (without the quotes) to connect to the first
available FTP server where the files are located.
OIFOs FTP ADDRESS DIRECTORY

Albany ftp.fo-albany.med.va.gov [ANONYMOUS.SOFTWARE]
Hines ftp.fo-hines.med.va.gov [ANONYMOUS.SOFTWARE]
Salt Lake City ftp.fo-slc.med.va.gov [ANONYMOUS.SOFTWARE]

Installation Guide
VISTA MHA 2 Files Retrieval Formats
File Name Contents Retrieval Formats

YS_501_76.KID ASCII
YS50176_Setup_124.exe Mental Health Assistant BINARY

This file is the complete install for the Mental Health
Assistant GUI Version 1.0.2.9 client.
- YS_MHA.exe MHA2 Executable

- YS_MHA_SD.exe Secure Desktop Executable
- YS_MHA_KH.DLL Keyboard Hook DLL used by Secure Desktop
- YS_MHA.Hlp Online Help file
- YS_MHA.GID Online Help configuration file
- YS50176_MHA2_IG.PDF YS_MHA2 Installation Guide BINARY

- YS50176_MHA2_IG.DOC YS_MHA2 Installation Guide BINARY
- YS50176_MHA2_UM.PDF YS_MHA2 User Manual BINARY

- YS50176_MHA2_UM.DOC YS_MHA2 User Manual BINARY
2. Copy the YS50176_Setup_124.EXE to an empty (temporary or scratch) directory.
3. Run the YS50176_Setup_124.EXE file (i.e., double click on it). This starts the MHA 2,
installation process. (See the Mental Health Assistant Version 2 software Installation process
illustrations on the following pages).

Installation Guide
Mental Health Assistant Install Windows Illustrations
The following illustrates the Mental Health Assistant Install windows. When the default
responses are accepted, MHA 2 is installed into the appropriate VistA directory on the user’s
workstation.
Installing Mental Health Assistant on your Computer
Example: From the Mental Health Assistant Welcome dialog box, click on the Next command
button (located at the bottom of the window) to continue with the install. The Choose
Destination Location dialog box will appear next stating, “Which drive do you want to install
this program into?”

Installation Guide
Choose Destination Location
Example: The Choose Destination Location dialog box text asks “Which directory do you
want to install this program into? We strongly recommend that while the drive can be modified,
the default directory be used (Drive:\Program Files\Vista\YSMHA).
Which directory do you want to install this program into?
To install to the directory displayed below, click Next.
To install to a different directory, click Browse and select another directory.

Installation Guide
Setup complete
Example: The Setup complete dialog box text states that, “The Mental Health Assistant has
been properly installed. You may start the software by clicking on the icon on your desktop.”
Click on the Finish command button (located within the dialog box bottom right side) and the
MHA software application setup is complete.

Installation Guide

Mental Health Assistant Version 2 (Mha 2) Installation Guide

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MENTAL HEALTH ASSISTANT

Department of Veterans Affairs

Section 508 of The Rehabilitation Act

Katie Thomas, Project Manager

VistA Mental Health Assistant Version 2, (MHA 2) 508 Compliance

June 2003 VistA MHA V. 2 Patch YS*5.01*76 i

MHA 2 Software Application

MHA 2 Installation Guide Orientation:

ii VistA MHA V. 2 Patch YS*5.01*76 June 2003

Software and Documentation Retrieval Information

Anonymous Software Directory

OIFOs FTP ADDRESS DIRECTORY

MHA 2 Software and Documentation Files Retrieval Format

MHA 2 Patch YS*5.01*76 exports the following files:

File Name Contents Retrieval Formats

YS50176_Setup_124.exe Mental Health Assistant BINARY

- YS_MHA.exe MHA2 Executable

- YS50176_MHA2_IG.PDF YS_MHA2 Installation Guide BINARY

- YS50176_MHA2_UM.PDF YS_MHA2 User Manual BINARY

June 2003 VistA MHA V. 2 Patch YS*5.01*76 iii

MHA 2 Documentation Website Locations

MHA Version 2, Installation Guide (i.e., YS50176_MHA2_IG.PDF &

VistA Mental Health Version 5.01 Home Page:

VistA Documentation Library (VDL):

iv VistA MHA V. 2 Patch YS*5.01*76 June 2003

June 2003 VistA MHA V. 2 Patch YS*5.01*76 v

vi VistA MHA V. 2 Patch YS*5.01*76 June 2003

VistA Mental Health Assistant Version 2, Software Features

ASI – Addiction Severity Index:

GAF – Global Assessment of Functioning:

Psychological Tests and Interviews:

June 2003 VistA MHA V. 2 Patch YS*5.01*76 7

VistA MHA 2, Functionality

Addiction Severity Index (ASI):

8 VistA MHA V. 2 Patch YS*5.01*76 June 2003

Global Assessment of Functioning (GAF)

Psychological Tests and Interviews:

Test Results Tab:

Order Tests Tab:

June 2003 VistA MHA V. 2 Patch YS*5.01*76 9

Secure Desktop Information

 Excessive non-alphanumeric keystrokes are interpreted as “hacking” efforts and MHA is

10 VistA MHA V. 2 Patch YS*5.01*76 June 2003

Patient Entry Window

June 2003 VistA MHA V. 2 Patch YS*5.01*76 11

First Warning Dialog Box

Second Warning Dialog Box

12 VistA MHA V. 2 Patch YS*5.01*76 June 2003

Unauthorized keystrokes are entered in response to the on-screen questions. Unauthorized

Excessive Use of Unauthorized Keystrokes

Termination of Mental Health Assistant

June 2003 VistA MHA V. 2 Patch YS*5.01*76 13

14 VistA MHA V. 2 Patch YS*5.01*76 June 2003

June 2003 VistA MHA V. 2 Patch YS*5.01*76 15

16 VistA MHA V. 2 Patch YS*5.01*76 June 2003

June 2003 VistA MHA V. 2 Patch YS*5.01*76 17

18 VistA MHA V. 2 Patch YS*5.01*76 June 2003

June 2003 VistA MHA V. 2 Patch YS*5.01*76 19

20 VistA MHA V. 2 Patch YS*5.01*76 June 2003

June 2003 VistA MHA V. 2 Patch YS*5.01*76 21

VistA MHA 2, contains the following Remote Procedures (RPCs):

YTAPI ASI FACTORS

22 VistA MHA V. 2 Patch YS*5.01*76 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 i

ii VistA MHA V. 2 Patch YS5.0176 June 2003

MHA 2 Patch YS5.0176 exports the following files:

June 2003 VistA MHA V. 2 Patch YS5.0176 iii

iv VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 v

vi VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 7

8 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 9

10 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 11

12 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 13

14 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 15

16 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 17

18 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 19

20 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 21

22 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 23

24 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 25

26 VistA MHA V. 2 Patch YS5.0176 June 2003

MHA 2 Patch YS5.0176 has been tested at the following sites:

June 2003 VistA MHA V. 2 Patch YS5.0176 27

28 VistA MHA V. 2 Patch YS5.0176 June 2003

Mental Health Assistant Version 2 Patch YS5.0176 distribution is using KIDS.

Mental Health Assistant Version 2 Patch YS5.0176 namespace is YS.

June 2003 VistA MHA V. 2 Patch YS5.0176 29

30 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 31

32 VistA MHA V. 2 Patch YS5.0176 June 2003

June 2003 VistA MHA V. 2 Patch YS5.0176 33

34 VistA MHA V. 2 Patch YS5.0176 June 2003